ELISE R DOUGLASS (PMHNP-BC, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1376308957
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,359 NURSE PRACTITIONER in VA
Provider Addresses for ELISE R DOUGLASS (PMHNP-BC, APRN)
400 MEDICAL DR
HAMPTON, VA 236661767
Phone: (757) 788-0400
Fax: (757) 788-0957
Type: Location
1021 Eden Way N Ste 118
Chesapeake, VA 233202776
Phone: (757) 816-6964
Type: Location
300 MEDICAL DR
HAMPTON, VA 236661765
Phone: (757) 788-0300
Fax: (757) 788-0969
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $134.
Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.
Last reported payment date: 2024-02-27 • Largest payer in this snapshot: Amgen Inc. ($134).
Total Amount
$134
General + Research + Ownership
Payments
1
Total payment records
General Amount
$134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $134 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-02
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240402002431 | I | Nurse Practitioner | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23666)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | CO | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Mental Health Counselor | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Mental Health Counselor | VA |
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